The German Programme for Guidelines in Oncology

Size: px
Start display at page:

Download "The German Programme for Guidelines in Oncology"

Transcription

1 The German Programme for Guidelines in Oncology Ina Kopp Markus Follmann International Symposium on Evidence-based Cochrane Reviews in Haemato-Oncology 10th Anniversary of the Cochrane Haematological Malignancies Group July 2011 GERMAN GUIDELINE PROGRAMME IN ONCOLOGY (GGPO) BACKGROUND AND RATIONALE - need for quality improvement in cancer care - need for better knowledge management - need for a common basis to improve networking of quality initiatives - German National Cancer Plan launched 2008, setting the goal to develop and implement high quality clinical practice guidelines (CPGs) in oncology

2 GERMAN GUIDELINE PROGRAMME IN ONCOLOGY (GGPO) CPG-development in Germany: strong engagement of Scientific Medical Societies and Professional Organisations, lack of funding GERMAN GUIDELINE PROGRAMME IN ONCOLOGY (GGPO) PARTNERS Association of the Scientific Medical Societies (AWMF) German Cancer Society (DKG) German Cancer Aid (DKH)

3 GERMAN GUIDELINE PROGRAM IN ONCOLOGY (GGPO) OBJECTIVES to support CPG development by scientific medical societies to provide independent funding for CPG development to improve methodological quality of CPGs to improve implementation and evaluation by - patient guidelines - short / long / pocket versions of CPGs - performance measures / quality indicators to consolidate the network of quality initiatives GGPO CONTEXT: QUALITY IMPROVEMENT IN ONCOLOGY Clinical Practice Guidelines (CPG) provide evidence- and consensus-based recommendations Guideline-based Quality Indicators Cancer Registries assess and report processes and outcomes are linked with Quality Assurance within the framework of the German Social Code Book ( 137a SGB V) Certified Cancer Centers support implementation transfer of guidelines into practice

4 GGPO: ORGANISATION STEERING COMMITTEE WORKING GROUP METHODOLOGY programme planning prioritisation project proposal CPG development GGPO Office coordination support GUIDELINE DEVELOPMENT GROUPS Titel GGPO: METHODOLOGY BASIS: GERMAN INSTRUMENT FOR METHODOLOGICAL GUIDELINE APPRAISAL Key elements: - stake holder and patient involvement - editorial independence - systematic search, selection and appraisal of the evidence - formal consensus process (nominal group technique, delphi, structured consensus conference) - facilitation of implementation and evaluation (patient guidelines, performance measures)

5 STAKEHOLDER AND PATIENT INVOLVEMENT REPRESENTATIVITY: PROFESSIONAL GROUPS AND PATIENTS - scientific medical societies - professional organisations (e.g. nurses, physiotherapists) - methodologists (strongly recommended) - patient self help organisations / consumer organisations HEURISTICS - match with target population, scope and purpose of the guideline - consider method to identify views, expectations and preferences (surveys/ literature search especially, if no direct involvement) EDITORIAL INDEPENDENCE SOURCE OF FUNDING - independent funding by GGPO - no influence on guideline content COMPETING INTERESTS OF GUIDELINE DEVELOPMENT GROUP MEMBERS - form sheet according to ICMJE - disclosure of financial and academical interests (table) - measures taken to minimise the influence of competing interests

6 SYSTEMATIC SEARCH AND APPRAISAL OF THE EVIDENCE documentation of strategy used to search for evidence clinical questions, databases, time period covered, search terms, inclusion criteria stepwise process, beginning with guidelines and systematic reviews e.g. GIN, AHRQ, NICE, Cochrane Library, PubMed, CINAHL, Hand search identification of risks of bias checklists to assess quality of guidelines, systematic reviews, studies documentation of results evidence tables, GRADE profiles, strength of evidence explanatory background text: strengths and limitations of the body of evidence, health benefits, side effects and risks Identifying key questions, setting priorities for evidence synthesis CLINICAL ALGORITHM Pat. with known CAD Management in case of contra-indications? Expert Consensus (GCP) Excercise ECG before imaging? Adaptation of existing Guidelines/Systematic Reviews Risk stratification? Systematic search de-novo National Disease Management Guideline for Chronic Coronary Artery Disease (2006)

7 GRADING RECOMMENDATIONS: CONSENSUS PROCESS Quality of evidence 1 high 2 - moderate 3 - low 4 - very low Strength of recommendation do / don t do we recommend probably do/don t do we suggest uncertain can be considered we do not know considered judgment a group decision GermanDM-CPG programme method report ( European Council, Recommendation (2001) 13, GRADE 2004 ( CRITERIA FOR CONSIDERED JUDGMENT - relative importance of the outcomes - quality of evidence for each outcome - overall quality of evidence - balance of benefit and harm (burden) - magnitude of the effects - precision of the estimates of the effects - applicability of the evidence to the target population - ethical, legal, economical considerations The GRADE Working Group,

8 CRITERIA FOR CONSIDERED JUDGMENT The strength of a recommendation reflects the degree of confidence that the desirable effects of adherence to a recommendation outweigh the undesirable effects strong recommendations are candidates for performance indicators why do we need formal methods for consensus? Safety in numbers several people are less likely to arrive at a wrong decision than a single individual. Authority a selected group of individuals is more likely to lend some authority of the decision produced. Rationality decisions are improved by reasoned arguments in which assumptions are challenged and members forced to justify their views. Controlled process by providing a structured process formal methods can eliminate negative aspects of group decision-making. Scientific credibility formal consensus methods meet the requirements of scientific methods. Murphy, Black et al. HTA 1998 (2)

9 TOOLS TO FACILITATE IMPLEMENTATION Long Version (Book, Journal Supplement, Internet) Short Version (Internet) Report on Methodology Evidence-Report (Systematic Review) Patient Guideline /Lay Version Pocket Versions (Algorithms) Apps and Electronic Reminders Titel GUIDELINE BASED QUALITY INDICATORS Guideline Recommendation Goal Quality Indicator (Reference Range) 2005 We strongly recommend that in all patients diagnosed with invasive breast cancer the hormone-receptor status is determined. LoE 1a, GoR A Immunehistochemical analysis of hormone-receptor status (Process Quality) Numerator: patients with documented hormone receptor-status Denominator: all patients with diagnosed invasive breast cancer (>95%) 95,82% Schulz, Albert et al.: S3-Guideline Early Detection of Breast Cancer Results: National Quality Report, BQS 2005

10 Titel QUALITY INDICATORS AND QUALITY IMPROVEMENT Breast Cancer: Hormone Receptor Status Assessment: year 2003, 40 Hospitals, county Hessen (10% of Patients in Germany) Presentation: U.-S. Albert, 5th Annual G-I-N Conference, Helsinki 2008 Titel GGPO: PROJECTS TUMOR SPECIFIC CPGs (12): Breast Cancer, Colorectal Cancer, Prostate Cancer, Cervical Cancer, Gastric Cancer, Ovarian Cancer, Oral Cavity Cancer, Pancreatic Cancer; Hepatocellular Carcinoma, Skin (prevention, early detection), Melanoma (diagnosis, therapy) Hodgkin s Lymphoma CROSS-SECTIONAL, ASPECT-SPECIFIC CPGs (2) Psychooncology (diagnosis, counseling, therapy) Palliative Care in Oncology

11 Titel CONCLUSION THE GERMAN GUIDELINE PROGRAMME IN ONCOLOGY (GGPO): solid framework for the development of high quality guidelines key instrument for quality improvement in oncology powerful start- 14 projects launched in 3 years monitoring of CPG effects and GGPO effects are essential Thank you!...

The German Programme for Guidelines in Oncology

The German Programme for Guidelines in Oncology The German Programme for Guidelines in Oncology Ina Kopp Markus Follmann International Symposium on Evidence-based Cochrane Reviews in Haemato-Oncology 10th Anniversary of the Cochrane Haematological Malignancies

More information

Number. Source: Vital Records, M CDPH

Number. Source: Vital Records, M CDPH Epidemiology of Cancer in Department of Public Health Revised April 212 Introduction The general public is very concerned about cancer in the community. Many residents believe that cancer rates are high

More information

Cancer screening: indications, benefits and myths

Cancer screening: indications, benefits and myths Cancer screening: indications, benefits and myths Silvia Deandrea Institute for Health and Consumer Protection Public Health Policy Support Unit Healthcare Quality Team Joint Research Centre The European

More information

Using GRADE to develop recommendations for immunization: recent advances

Using GRADE to develop recommendations for immunization: recent advances Using GRADE to develop recommendations for immunization: recent advances Holger Schünemann, MD, PhD Chair and Professor, Department of Clinical Epidemiology & Biostatistics Professor of Medicine Michael

More information

REGULATIONS FOR THE POSTGRADUATE DIPLOMA IN PSYCHO-ONCOLOGY (PDipPsycho-oncology)

REGULATIONS FOR THE POSTGRADUATE DIPLOMA IN PSYCHO-ONCOLOGY (PDipPsycho-oncology) 535 REGULATIONS FOR THE POSTGRADUATE DIPLOMA IN PSYCHO-ONCOLOGY (PDipPsycho-oncology) (See also General Regulations) M.105 Admission requirements To be eligible for admission to the programme leading to

More information

STRATEGIES FOR ASSESSING THE PATIENT-LEVEL ECONOMIC IMPACT OF CANCER DIAGNOSIS

STRATEGIES FOR ASSESSING THE PATIENT-LEVEL ECONOMIC IMPACT OF CANCER DIAGNOSIS Cumulative % Increase 5/20/2015 STRATEGIES FOR ASSESSING THE PATIENT-LEVEL ECONOMIC IMPACT OF CANCER DIAGNOSIS ISPOR 20 th Annual International Meeting -- Philadelphia, PA May 20 th 2015 Workshop Moderators:

More information

The decision making process and the application of value judgments. Francis Ruiz Senior Adviser (Health Economics) NICE International April 2014

The decision making process and the application of value judgments. Francis Ruiz Senior Adviser (Health Economics) NICE International April 2014 The decision making process and the application of value judgments Francis Ruiz Senior Adviser (Health Economics) NICE International April 2014 NICE 2014 Process matters! The ideal situation? Principles

More information

Alaska Comprehensive Cancer Control Plan 2011-15

Alaska Comprehensive Cancer Control Plan 2011-15 Alaska Comprehensive Cancer Control Plan 2011-15 Alaska Comprehensive Cancer Plan 2011-2015 STATE of ALASKA Department of Health and Social Services ALASKA Comprehensive Cancer Partnership Prevention Promotion

More information

Internationale Standards des HTA? Jos Kleijnen Kleijnen Systematic Reviews Ltd

Internationale Standards des HTA? Jos Kleijnen Kleijnen Systematic Reviews Ltd Internationale Standards des HTA? Jos Kleijnen Kleijnen Systematic Reviews Ltd Conflicts of Interest A Gutachten was commissioned by VFA we had full editorial freedom Kleijnen Systematic Reviews Ltd has

More information

Section 8» Incidence, Mortality, Survival and Prevalence

Section 8» Incidence, Mortality, Survival and Prevalence Section 8» Incidence, Mortality, Survival and Prevalence 8.1. Description of Statistics Reported This section focuses on the regional distribution of cancer with data derived from the BC Cancer Registry

More information

Biostat Methods STAT 5820/6910 Handout #6: Intro. to Clinical Trials (Matthews text)

Biostat Methods STAT 5820/6910 Handout #6: Intro. to Clinical Trials (Matthews text) Biostat Methods STAT 5820/6910 Handout #6: Intro. to Clinical Trials (Matthews text) Key features of RCT (randomized controlled trial) One group (treatment) receives its treatment at the same time another

More information

Statistics fact sheet

Statistics fact sheet Statistics fact sheet Fact sheet last updated January 2015 EXTERNAL VERSION Macmillan Cancer Support Page 1 of 10 Macmillan and statistics Statistics are important to Macmillan because they help us represent

More information

Investigating Community Cancer Concerns--Deer Park Community Advisory Council, 2008

Investigating Community Cancer Concerns--Deer Park Community Advisory Council, 2008 Investigating Community Cancer Concerns--Deer Park Community Advisory Council, 2008 David R. Risser, M.P.H., Ph.D. David.Risser@dshs.state.tx.us Epidemiologist Cancer Epidemiology and Surveillance Branch

More information

A Decision Support Tool to Facilitate Cancer Risk Assessment and Referral for Genetics Services. Kristen Vogel Postula, MS, CGC & Leigh Baumgart, PhD

A Decision Support Tool to Facilitate Cancer Risk Assessment and Referral for Genetics Services. Kristen Vogel Postula, MS, CGC & Leigh Baumgart, PhD A Decision Support Tool to Facilitate Cancer Risk Assessment and Referral for Genetics Services Kristen Vogel Postula, MS, CGC & Leigh Baumgart, PhD Importance of Family History Increasing awareness of

More information

Nurse Practitioner Mentor Guideline NPAC-NZ

Nurse Practitioner Mentor Guideline NPAC-NZ Nurse Practitioner Mentor Guideline NPAC-NZ Purpose To provide a framework for the mentorship of registered nurses to prepare for Nurse Practitioner (NP) registration from the Nursing Council of New Zealand.

More information

6. MEASURING EFFECTS OVERVIEW CHOOSE APPROPRIATE METRICS

6. MEASURING EFFECTS OVERVIEW CHOOSE APPROPRIATE METRICS 45 6. MEASURING EFFECTS OVERVIEW In Section 4, we provided an overview of how to select metrics for monitoring implementation progress. This section provides additional detail on metric selection and offers

More information

Cancer in Ireland 2013: Annual report of the National Cancer Registry

Cancer in Ireland 2013: Annual report of the National Cancer Registry Cancer in 2013: Annual report of the National Cancer Registry ABBREVIATIONS Acronyms 95% CI 95% confidence interval APC Annual percentage change ASR Age standardised rate (European standard population)

More information

Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma

Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Medical Expert: Breast Rotation Specific Competencies/Objectives 1.0 Medical History

More information

Treatment & Research. Treatment & Research

Treatment & Research. Treatment & Research Treatment & Research In March 1990, I became ill while on a trip to Thailand. I was examined and tested and given instructions to go to the emergency room when I arrived at home. In Great Falls, I learned

More information

2014-06-10 Approved Bendamustine - Treatment of relapsed low grade NHL in patients unable to receive standard therapy 2014-05-

2014-06-10 Approved Bendamustine - Treatment of relapsed low grade NHL in patients unable to receive standard therapy 2014-05- Sub. Sub. Status -06-16 Approved Lenalidomide - 2nd line treatment of multiple myeloma in patients who have contraindications to the use of bortezomib -06-16 Approved Lenalidomide - 2nd line treatment

More information

Oncology Central MEDIA PACK 2016 SPONSORSHIP ADVERTISING NETWORKING

Oncology Central MEDIA PACK 2016 SPONSORSHIP ADVERTISING NETWORKING Oncology Central MEDIA PACK 2016 SPONSORSHIP ADVERTISING NETWORKING Client opportunities CONTENTS About us...02 Readership...04 Driving qualified leads...05 Our Journals...08 Editorial Calendar...10 Rate

More information

Your Certified Professional Cancer Coach. An Integrative Answer to Cancer Exclusive Professional Program for Patients with Cancer

Your Certified Professional Cancer Coach. An Integrative Answer to Cancer Exclusive Professional Program for Patients with Cancer Your Certified Professional Cancer Coach An Integrative Answer to Cancer Exclusive Professional Program for Patients with Cancer The CPCC Patient Program Nutrition & Lifestyle Oncology A Cancer Diagnosis

More information

Singapore Cancer Registry Annual Registry Report Trends in Cancer Incidence in Singapore 2009 2013. National Registry of Diseases Office (NRDO)

Singapore Cancer Registry Annual Registry Report Trends in Cancer Incidence in Singapore 2009 2013. National Registry of Diseases Office (NRDO) Singapore Cancer Registry Annual Registry Report Trends in Cancer Incidence in Singapore 2009 2013 National Registry of Diseases Office (NRDO) Released November 3, 2014 Acknowledgement This report was

More information

Evidence-based guideline development. Dr. Jako Burgers/dr. H.P.Muller Dutch Institute for Healthcare Improvement CBO, Utrecht, The Netherlands

Evidence-based guideline development. Dr. Jako Burgers/dr. H.P.Muller Dutch Institute for Healthcare Improvement CBO, Utrecht, The Netherlands Evidence-based guideline development Dr. Jako Burgers/dr. H.P.Muller Dutch Institute for Healthcare Improvement CBO, Utrecht, The Netherlands Outline lecture/workshop 1. Aims and objectives of guidelines

More information

Pfizer Forms Global Alliance with Merck KGaA, Darmstadt, Germany to Accelerate Presence in Immuno-Oncology. November 17, 2014

Pfizer Forms Global Alliance with Merck KGaA, Darmstadt, Germany to Accelerate Presence in Immuno-Oncology. November 17, 2014 Pfizer Forms Global Alliance with Merck KGaA, Darmstadt, Germany to Accelerate Presence in Immuno-Oncology November 17, 2014 Forward-looking statements Our discussions during this conference call will

More information

Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology

Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology The chart below lists the measures (and specialty exclusions) that eligible providers must demonstrate

More information

Critical Appraisal of Article on Therapy

Critical Appraisal of Article on Therapy Critical Appraisal of Article on Therapy What question did the study ask? Guide Are the results Valid 1. Was the assignment of patients to treatments randomized? And was the randomization list concealed?

More information

Guideline Development The American Society of Clinical Oncology

Guideline Development The American Society of Clinical Oncology Assessing Genomic Sequencing Information for Health Care Decision Making Decision Making Once Evidence is Assessed/Graded Evaluated Guideline Development The American Society of Clinical Oncology Gary

More information

ChangingPractice. Appraising Systematic Reviews. Evidence Based Practice Information Sheets for Health Professionals. What Are Systematic Reviews?

ChangingPractice. Appraising Systematic Reviews. Evidence Based Practice Information Sheets for Health Professionals. What Are Systematic Reviews? Supplement 1, 2000 ChangingPractice Evidence Based Practice Information Sheets for Health Professionals Appraising Systematic Reviews The series Changing Practice has been designed to support health professionals

More information

BRAIN TUMOUR RESEARCH FUNDING FLOWS

BRAIN TUMOUR RESEARCH FUNDING FLOWS BRAIN TUMOUR RESEARCH FUNDING FLOWS Ellen Harries, Iona Joy v London, April 2013 (updated) CONTENTS 1 Research brief and headline findings 2 Research funding for cancer 3 Brain tumour funding compared

More information

Guide. to the. Development of Clinical Guidelines. for. Nurse Practitioners

Guide. to the. Development of Clinical Guidelines. for. Nurse Practitioners Guide to the Development of Clinical Guidelines for Nurse Practitioners Ms Jeanette Robertson RN RM MSc RCNA Nurse Researcher Centre for the Western Australian Centre for Evidenced Based Nursing and Midwifery,

More information

THE 2013 GENENTECH ONCOLOGY TREND REPORT

THE 2013 GENENTECH ONCOLOGY TREND REPORT THE 2013 GENENTECH ONCOLOGY TREND REPORT Perspectives From Managed Care, Specialty Pharmacy Providers, Oncologists, Practice Managers, and Employers 2013 Genentech, South San Francisco, CA December 2013

More information

JOB DESCRIPTION. 29,768 to 35,147 dependant on experience

JOB DESCRIPTION. 29,768 to 35,147 dependant on experience JOB DESCRIPTION Job Title: Reporting to: Salary: Dementia Lead Nurse Operations Director 29,768 to 35,147 dependant on experience Spinal Point: 30 to 36 Contract: Hours of Work: Permanent Full time, 35

More information

How To Get Involved With The American Cancer Society

How To Get Involved With The American Cancer Society An Introduction to the American Cancer Society & Primary Care Systems Work Presented by: Jessica Jamison, MPH Sr. Director, Primary Care Systems Who We Are Mission Statement: The American Cancer Society

More information

Alaska Cancer Survivorship Resource Plan

Alaska Cancer Survivorship Resource Plan Alaska Cancer Survivorship Resource Plan 2013 Alaska Cancer Survivorship Resource Plan 2013 Alaska Comprehensive Cancer Control Cancer Survivorship Resource Plan 2013: Addressing the Needs of Alaska Cancer

More information

Form # 10 Revised 3/09

Form # 10 Revised 3/09 Clinical Faculty Evaluation Form (Midterm/Final) NUR 680: Primary Care of Adults, NUR 682: Primary Care of Children, NUR 684: Primary Care of Women, NUR 672: Practicum The clinical evaluation tools for

More information

Guidelines on best practice in recruitment and selection

Guidelines on best practice in recruitment and selection Guidelines on best practice in recruitment and selection These guidelines are primarily designed to assist you in implementing effective and fair recruitment and selection processes, which will contribute

More information

TABLE OF CONTENTS. Introduction...1. Chapter1 AdvancesinTreatment...2. Chapter2 MedicinesinDevelopment...11. Chapter3 ValueandSpending...

TABLE OF CONTENTS. Introduction...1. Chapter1 AdvancesinTreatment...2. Chapter2 MedicinesinDevelopment...11. Chapter3 ValueandSpending... CANCER TABLE OF CONTENTS Introduction...1 Chapter1 AdvancesinTreatment...2 Chapter2 MedicinesinDevelopment......11 Chapter3 ValueandSpending......15 Chapter4 Conclusion...22 INTRODUCTION Researchers and

More information

Breast Cancer. CSC Cancer Experience Registry Member, breast cancer

Breast Cancer. CSC Cancer Experience Registry Member, breast cancer ESSENTIALS Breast Cancer Take things one step at a time. Try not to be overwhelmed by the tidal wave of technical information coming your way. Finally you know your body best; you have to be your own advocate.

More information

Komorbide brystkræftpatienter kan de tåle behandling? Et registerstudie baseret på Danish Breast Cancer Cooperative Group

Komorbide brystkræftpatienter kan de tåle behandling? Et registerstudie baseret på Danish Breast Cancer Cooperative Group Komorbide brystkræftpatienter kan de tåle behandling? Et registerstudie baseret på Danish Breast Cancer Cooperative Group Lotte Holm Land MD, ph.d. Onkologisk Afd. R. OUH Kræft og komorbiditet - alle skal

More information

Types of Studies. Systematic Reviews and Meta-Analyses

Types of Studies. Systematic Reviews and Meta-Analyses Types of Studies Systematic Reviews and Meta-Analyses Important medical questions are typically studied more than once, often by different research teams in different locations. A systematic review is

More information

BREAST CANCER AWARENESS FOR WOMEN AND MEN by Samar Ali A. Kader. Two years ago, I was working as a bedside nurse. One of my colleagues felt

BREAST CANCER AWARENESS FOR WOMEN AND MEN by Samar Ali A. Kader. Two years ago, I was working as a bedside nurse. One of my colleagues felt Ali A. Kader, S. (2010). Breast cancer awareness for women and men. UCQ Nursing Journal of Academic Writing, Winter 2010, 70 76. BREAST CANCER AWARENESS FOR WOMEN AND MEN by Samar Ali A. Kader Two years

More information

Hormone therapy and breast cancer: conflicting evidence. Cindy Farquhar Cochrane Menstrual Disorders and Subfertility Group

Hormone therapy and breast cancer: conflicting evidence. Cindy Farquhar Cochrane Menstrual Disorders and Subfertility Group Hormone therapy and breast cancer: conflicting evidence Cindy Farquhar Cochrane Menstrual Disorders and Subfertility Group The world of hormone therapy in the 1990 s Throughout the 1970s, 1980s and 1990s

More information

Guide to Health Promotion and Disease Prevention

Guide to Health Promotion and Disease Prevention Family Health Teams Advancing Primary Health Care Guide to Health Promotion and Disease Prevention January 16, 2006 Table of Contents 3 Introduction 3 Purpose 3 Background 4 Developing Health Promotion

More information

Carbohydrate antigen 19 9 (CA 19 9) (serum, plasma)

Carbohydrate antigen 19 9 (CA 19 9) (serum, plasma) Carbohydrate antigen 19 9 (CA 19 9) (serum, plasma) 1 Name and description of analyte 1.1 Name of analyte Carbohydrate antigen 19 9 (CA 19 9) 1.2 Alternative names Cancer antigen 19 9, cancer antigen GI

More information

European Parliament resolution on breast cancer in the European Union (2002/2279(INI))

European Parliament resolution on breast cancer in the European Union (2002/2279(INI)) P5_TA(2003)0270 Breast cancer European Parliament resolution on breast cancer in the European Union (2002/2279(INI)) The European Parliament, having regard to Article 152 of the EC Treaty as amended by

More information

The Role of the MDT Coordinator. Laura Throssell

The Role of the MDT Coordinator. Laura Throssell The Role of the MDT Coordinator Laura Throssell NHS Cancer Plan (2000) the care of all patients with cancer should be formally reviewed by a specialist team. all patients have the benefit of the range

More information

Accounting Theory Notes

Accounting Theory Notes Accounting Theory Notes Contents Week 1: Introduction to Accounting Theory... 3 Four KEY Questions in Financial Reporting... 3 Theories... 3 How to exercise our Judgement... 4 Week 2: Ethics and Accounting

More information

German Instrument for Methodological Guideline Appraisal

German Instrument for Methodological Guideline Appraisal Association of the Scientific Medical Societies in Germany Agency for Quality in Medicine German Instrument for Methodological Guideline Appraisal Deutsches Instrument zur methodischen Leitlinien-Bewertung

More information

How To Know If You Have Cancer At Mercy Regional Medical Center

How To Know If You Have Cancer At Mercy Regional Medical Center MERCY REGIONAL CANCER CENTER 2012 CANCER PROGRAM ANNUAL REPORT Using 2011 Data Mercy Regional Cancer Center When you have cancer, you might think first of treatments chemotherapy and radiation. You want

More information

Palliative Nursing. An EssEntiAl REsouRcE for HospicE And palliative nurses

Palliative Nursing. An EssEntiAl REsouRcE for HospicE And palliative nurses Palliative Nursing An EssEntiAl REsouRcE for HospicE And palliative nurses American Nurses Association Silver Spring, Maryland 2014 American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring,

More information

The Price of Cancer The public price of registered cancer in New Zealand

The Price of Cancer The public price of registered cancer in New Zealand The Price of Cancer The public price of registered cancer in New Zealand Citation: The Price of Cancer: The public price of registered cancer in New Zealand. Wellington: Ministry of Health. Published in

More information

CLINICAL POLICY Department: Medical Management Document Name: Opdivo Reference Number: CP.PHAR.121 Effective Date: 07/15

CLINICAL POLICY Department: Medical Management Document Name: Opdivo Reference Number: CP.PHAR.121 Effective Date: 07/15 Page: 1 of 6 IMPORTANT REMINDER This Clinical Policy has been developed by appropriately experienced and licensed health care professionals based on a thorough review and consideration of generally accepted

More information

Randomized trials versus observational studies

Randomized trials versus observational studies Randomized trials versus observational studies The case of postmenopausal hormone therapy and heart disease Miguel Hernán Harvard School of Public Health www.hsph.harvard.edu/causal Joint work with James

More information

Medical Surgical Nursing (Elsevier)

Medical Surgical Nursing (Elsevier) 1 of 6 I. The Musculoskeletal System Medical Surgical Nursing (Elsevier) 1. Med/Surg: Musculoskeletal System: The Comprehensive Health History 2. Med/Surg: Musculoskeletal System: A Nursing Approach to

More information

ScreenWise. Breast, Cervical, and Hereditary Cancer Screenings OCTOBER 28, 2015

ScreenWise. Breast, Cervical, and Hereditary Cancer Screenings OCTOBER 28, 2015 ScreenWise Breast, Cervical, and Hereditary Cancer Screenings OCTOBER 28, 2015 ScreenWise Three programs working together to bring quality screening services to Oregon residents Why we all do this work

More information

Cancer in Primary Care: Prostate Cancer Screening. How and How often? Should we and in which patients?

Cancer in Primary Care: Prostate Cancer Screening. How and How often? Should we and in which patients? Cancer in Primary Care: Prostate Cancer Screening How and How often? Should we and in which patients? PLCO trial (Prostate, Lung, Colorectal and Ovarian) Results In the screening group, rates of compliance

More information

What is care that works best?

What is care that works best? How do we know which types of health care work best? 1 URAC Health Tip Sheets for Consumers This document is part of a series of information resources to help you get good quality health care. For additional

More information

Graduate Profile. BA (Hons/Ord) Learning Disability Nursing

Graduate Profile. BA (Hons/Ord) Learning Disability Nursing Graduate Profile BA (Hons/Ord) Learning Disability Nursing The following information, in conjunction with the graduate's individual practice portfolio and C.V., constitutes the graduate profile for the

More information

Systematic Reviews. knowledge to support evidence-informed health and social care

Systematic Reviews. knowledge to support evidence-informed health and social care Systematic Reviews knowledge to support evidence-informed health and social care By removing uncertainties in science and research, systematic reviews ensure that only the most effective and best-value

More information

Guideline for the Follow Up of Patients Following Treatment for Breast Cancer

Guideline for the Follow Up of Patients Following Treatment for Breast Cancer Guideline for the Follow Up of Patients Following Treatment for Breast Cancer Date Approved by Network Governance July 2012 Date for Review July 2015 Page 1 of 6 1 Scope of the Guideline This guideline

More information

Prevent what is preventable, cure what is curable, provide palliative care for patients in need, and monitor and manage for results.

Prevent what is preventable, cure what is curable, provide palliative care for patients in need, and monitor and manage for results. Proposed PAHO Plan of Action for Cancer Prevention and Control 2008 2015 Prevent what is preventable, cure what is curable, provide palliative care for patients in need, and monitor and manage for results.

More information

PCORI Methodology Standards: Academic Curriculum. 2016 Patient-Centered Outcomes Research Institute. All Rights Reserved.

PCORI Methodology Standards: Academic Curriculum. 2016 Patient-Centered Outcomes Research Institute. All Rights Reserved. PCORI Methodology Standards: Academic Curriculum 2016 Patient-Centered Outcomes Research Institute. All Rights Reserved. Module 5: Step 3 Search the Literature Category 11: Systematic Reviews Prepared

More information

A23: Oncologic Disease- Tumor Markers

A23: Oncologic Disease- Tumor Markers A23: Oncologic Disease- Tumor Markers Diagnosis Tumor Markers and Genetic Markers Use for Specific Malignancy The following information is from multiple guideline sources as recommendations for use of

More information

Management of food allergy in Europe - An overview using Germany as an example

Management of food allergy in Europe - An overview using Germany as an example Management of food allergy in Europe - An overview using Germany as an example Disclosure In relation to this presentation, I declare that there are no conflicts of interest. Allergy Societies in Europe

More information

Clinical trials: The EU perspective. Dr Karim Berkouk, Deputy Head of Unit DG for Research and Innovation Health Directorate European Commission

Clinical trials: The EU perspective. Dr Karim Berkouk, Deputy Head of Unit DG for Research and Innovation Health Directorate European Commission Clinical trials: The EU perspective Dr Karim Berkouk, Deputy Head of Unit DG for Research and Innovation Health Directorate European Commission Content 1.EU: The global picture 2.EU & Clinial trials: The

More information

No. prev. doc.: 8770/08 SAN 64 Subject: EMPLOYMENT, SOCIAL POLICY, HEALTH AND CONSUMER AFFAIRS COUNCIL MEETING ON 9 AND 10 JUNE 2008

No. prev. doc.: 8770/08 SAN 64 Subject: EMPLOYMENT, SOCIAL POLICY, HEALTH AND CONSUMER AFFAIRS COUNCIL MEETING ON 9 AND 10 JUNE 2008 COUNCIL OF THE EUROPEAN UNION Brussels, 22 May 2008 9636/08 SAN 87 NOTE from: Committee of Permanent Representatives (Part 1) to: Council No. prev. doc.: 8770/08 SAN 64 Subject: EMPLOYMENT, SOCIAL POLICY,

More information

Avastin in breast cancer: Summary of clinical data

Avastin in breast cancer: Summary of clinical data Avastin in breast cancer: Summary of clinical data Worldwide, over one million people are diagnosed with breast cancer every year 1. It is the most frequently diagnosed cancer in women 1,2, and the leading

More information

DENTAL IMPLANTS IN EDENTULISM

DENTAL IMPLANTS IN EDENTULISM DENTAL IMPLANTS IN EDENTULISM AMS-MOH Clinical Practice Guidelines Dr S L Chan, FAMS WHAT ARE CLINICAL GUIDELINES? Defined in the dictionary as an indication of a course to be followed Statements to assist

More information

Putting Patients at the Heart of what Value Means

Putting Patients at the Heart of what Value Means November 19, 2015 Robert Carlson, MD Chief Executive Officer National Comprehensive Cancer Network 275 Commerce Drive, Suite 300 Fort Washington, PA 19034 Dear Dr. Carlson, The undersigned organizations

More information

Facts about Zurich Claims. Zurich Life Risk

Facts about Zurich Claims. Zurich Life Risk Facts about Zurich Claims Zurich Life Risk A closer look at the claims Income Protection claims sample extract started Cause Occupation Duration (days) Initial monthly benefit Benefits paid to date 23

More information

INTEGRATING CLINICAL GUIDELINES INTO MULTIDISCIPLINARY MEETINGS

INTEGRATING CLINICAL GUIDELINES INTO MULTIDISCIPLINARY MEETINGS INTEGRATING CLINICAL GUIDELINES INTO MULTIDISCIPLINARY MEETINGS Willemijn Stoel, s1201492 Examencommissie: Sabine Siesling Jeanette van Manen Xander Verbeek University of Twente Bachelor assignment, 2015

More information

JOB DESCRIPTION & PERSON SPECIFICATION. Based in Harold s Cross. Advanced Nurse Practitioner (candidate) Indefinite Duration 1.

JOB DESCRIPTION & PERSON SPECIFICATION. Based in Harold s Cross. Advanced Nurse Practitioner (candidate) Indefinite Duration 1. JOB DESCRIPTION & PERSON SPECIFICATION Based in Harold s Cross Advanced Nurse Practitioner (candidate) Indefinite Duration 1.0WTE JOB DESCRIPTION TITLE: REPORTING TO: RESPONSIBLE TO: SALARY SCALE: HOLIDAYS:

More information

Cancer Survival - How Long Do People Survive?

Cancer Survival - How Long Do People Survive? A research briefing paper by Macmillan Cancer Support Introduction Key findings 3 People with cancer are surviving longer 4 Median survival time has seen dramatic improvement for some cancers 5 Median

More information

JSNA Factsheet Template Tower Hamlets Joint Strategic Needs Assessment 2010 2011

JSNA Factsheet Template Tower Hamlets Joint Strategic Needs Assessment 2010 2011 JSNA Factsheet Template Tower Hamlets Joint Strategic Needs Assessment 2010 2011. Executive Summary This fact sheet considers breast cancer, with a particular emphasis on breast screening and raising awareness

More information

Level 1. Nutrition & Lifestyle Oncology Certificate

Level 1. Nutrition & Lifestyle Oncology Certificate Level 1 Nutrition & Lifestyle Oncology Certificate ONE MODULE 1 A Cancer Diagnosis Learn what cancer is; how/why it develops; diagnostic tests; inflammatory/ hormonal connections; 5 most important steps

More information

Breast Cancer Screening

Breast Cancer Screening Breast Cancer Screening Summary of the Clinical Practice Guideline September 2013 These recommendations are systematically developed statements to assist practitioner and patient decisions about appropriate

More information

A competency framework for all prescribers updated draft for consultation

A competency framework for all prescribers updated draft for consultation A competency framework for all prescribers updated draft for consultation Consultation closes 15 April 2016 Contents 1 Introduction... 3 2 Uses of the framework... 4 3 Scope of the competency framework...

More information

When it comes to health

When it comes to health When it comes to health Medical Evidence Matters EASIER, FASTER EVIDENCE-BASED DECISIONS What is Evidence-Based Medicine (EBM)? Evidence-based medicine is the conscientious, explicit and judicious use

More information

Table 1 Performance Measures. Quality Monitoring P4P Yr1 Yr2 Yr3. Specification Source. # Category Performance Measure

Table 1 Performance Measures. Quality Monitoring P4P Yr1 Yr2 Yr3. Specification Source. # Category Performance Measure Table 1 Performance Measures # Category Performance Measure 1 Behavioral Health Risk Assessment and Follow-up 1) Behavioral Screening/ Assessment within 60 days of enrollment New Enrollees who completed

More information

California HealthCare Foundation Education materials for patients with advanced cancer

California HealthCare Foundation Education materials for patients with advanced cancer California HealthCare Foundation Education materials for patients with advanced cancer The California HealthCare Foundation (CHCF) commissioned research to explore options around the development of patient

More information

Individual Prediction

Individual Prediction Individual Prediction Michael W. Kattan, Ph.D. Professor of Medicine, Epidemiology and Biostatistics, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Chairman, Department

More information

43,303,919 paid out in critical illness claims in the first six months of 2012*

43,303,919 paid out in critical illness claims in the first six months of 2012* Critical Illness Claims Report 43,303,919 out in critical illness claims in the first six months of 2012* 60 % Cancer 16 % Heart Attack 10 % Other 3 % Benign Brain Tumour 5 % Multiple Sclerosis 6 % Stroke

More information

Radiology Business Management Association Technology Task Force. Sample Request for Proposal

Radiology Business Management Association Technology Task Force. Sample Request for Proposal Technology Task Force Sample Request for Proposal This document has been created by the RBMA s Technology Task Force as a guideline for use by RBMA members working with potential suppliers of Electronic

More information

STEPS OF THE ETHICAL DECISION-MAKING PROCESS

STEPS OF THE ETHICAL DECISION-MAKING PROCESS STEPS OF THE ETHICAL DECISION-MAKING PROCESS EESE Faculty Development Workshop Douglas R. May, Professor and Co-Director International Center for Ethics in Business SUMMARY OF THE STEPS OF THE ETHICAL

More information

The Effectiveness Of Online Learning In Supporting Nurses Across Ontario To Obtain Their National Certification. de Souza Institute August 29, 2012

The Effectiveness Of Online Learning In Supporting Nurses Across Ontario To Obtain Their National Certification. de Souza Institute August 29, 2012 The Effectiveness Of Online Learning In Supporting Nurses Across Ontario To Obtain Their National Certification de Souza Institute August 29, 2012 Content development Laura Rashleigh led all four years

More information

PET (FDG) Scan for Solid Tumors PET (FDG) SCAN FOR SOLID TUMORS HS-112. Policy Number: HS-112. Original Effective Date: 6/18/2009

PET (FDG) Scan for Solid Tumors PET (FDG) SCAN FOR SOLID TUMORS HS-112. Policy Number: HS-112. Original Effective Date: 6/18/2009 Easy Choice Health Plan, Inc. Exactus Pharmacy Solutions, Inc. Harmony Health Plan of Illinois, Inc. Missouri Care, Incorporated WellCare Health Insurance of Arizona, Inc., operating in Hawai i as Ohana

More information

Bristol Hospital Cancer Care Center 2015 Annual Report

Bristol Hospital Cancer Care Center 2015 Annual Report Bristol Hospital Cancer Care Center 2015 Annual Report 2015 Annual Report Cancer Care Center At every point along the path, our team is there, keeping the focus on the most important team member - the

More information

Closed Sub-TOI: L08.000 Life - Other Co Tr Num: BANRD-01 State Status: Approved-Closed

Closed Sub-TOI: L08.000 Life - Other Co Tr Num: BANRD-01 State Status: Approved-Closed Project Name/Number: / 01 Filing at a Glance Company: Banner Life Insurance Company SERFF Tr Num: FNBL-126416557 State: Arkansas TOI: L08 Life - Other SERFF Status: Closed-Approved- State Tr Num: 44441

More information

Guidance for Industry FDA Approval of New Cancer Treatment Uses for Marketed Drug and Biological Products

Guidance for Industry FDA Approval of New Cancer Treatment Uses for Marketed Drug and Biological Products Guidance for Industry FDA Approval of New Cancer Treatment Uses for Marketed Drug and Biological Products U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation

More information

Breast Health Program

Breast Health Program Breast Health Program Working together, for your health. Breast Health Program The Breast Health Program at The University of Arizona Cancer Center offers patients a personalized approach to breast cancer,

More information

British School of Commerce

British School of Commerce British School of Commerce Programme Specification for the Cardiff Metropolitan University Master of Business Administration (MBA) Major Project Stage 1 Contents Page 1 Programme Aims and Objectives 3

More information

Diagnosis and Treatment of Common Oral Lesions Causing Pain

Diagnosis and Treatment of Common Oral Lesions Causing Pain Diagnosis and Treatment of Common Oral Lesions Causing Pain John D. McDowell, DDS, MS University of Colorado School of Dentistry Chair, Oral Diagnosis, Medicine and Radiology Director, Oral Medicine and

More information

National Pharmaceutical Pricing Authority 3 rd Floor, YMCA Cultural Centre 1 Jai Singh Road New Delhi 110001 File No. 23(01)2014/Div.

National Pharmaceutical Pricing Authority 3 rd Floor, YMCA Cultural Centre 1 Jai Singh Road New Delhi 110001 File No. 23(01)2014/Div. Dated 21 st November 2014 NPPA Invites Comments of Pharmaceutical Industry & Trade, Consumer Organisations, Public Health Experts and other Stakeholders on the Recommendations of Tata Memorial Centre under

More information

GENETIC CONSIDERATIONS IN CANCER TREATMENT AND SURVIVORSHIP

GENETIC CONSIDERATIONS IN CANCER TREATMENT AND SURVIVORSHIP GENETIC CONSIDERATIONS IN CANCER TREATMENT AND SURVIVORSHIP WHO IS AT HIGH RISK OF HEREDITARY CANCER? Hereditary Cancer accounts for a small proportion of all cancer or approximately 5-10% THE DEVELOPMENT

More information

A Source of Hard- to- Find Pa3ents and Caregivers For Researchers. Peter Ziedins Peter.ziedins@mpiresearch.ca 514-426- 9295 www.rarepa;entvoice.

A Source of Hard- to- Find Pa3ents and Caregivers For Researchers. Peter Ziedins Peter.ziedins@mpiresearch.ca 514-426- 9295 www.rarepa;entvoice. A Source of Hard- to- Find Pa3ents and Caregivers For Researchers Peter Ziedins Peter.ziedins@mpiresearch.ca 514-426- 9295 www.rarepa;entvoice.com About RPV Rare Pa3ent Voice, LLC was formed to provide

More information

Proportion of patients with invasive breast cancer in whom ER, PR and/or

Proportion of patients with invasive breast cancer in whom ER, PR and/or 1.1.a. Proportion of patients with invasive breast cancer in whom ER, PR and/or HER2 status assessment were performed 1.1.b. Proportion of patients with invasive breast cancer in whom systemic treatment

More information

Competencies for the nurse practitioner scope of practice

Competencies for the nurse practitioner scope of practice Competencies for the nurse practitioner scope of practice Approved by Council September 2008 Nurse practitioner scope of practice Nurse practitioners are expert nurses who work within a specific area of

More information

C a nc e r C e nter. Annual Registry Report

C a nc e r C e nter. Annual Registry Report C a nc e r C e nter Annual Registry Report 214 214 Cancer Registry Report Larraine A. Tooker, CTR Please note that the 214 Cancer Registry Annual Report is created in 214, but it reflects data on cases

More information

COMMISSION ON ACCREDITATION FOR DIETETICS EDUCATION 2008 FOUNDATION KNOWLEDGE AND COMPETENCIES DIETITIAN EDUCATION

COMMISSION ON ACCREDITATION FOR DIETETICS EDUCATION 2008 FOUNDATION KNOWLEDGE AND COMPETENCIES DIETITIAN EDUCATION Individuals interested in becoming Registered Dietitians should expect to study a wide variety of topics focusing on food, nutrition and management. These areas are supported by the sciences: biological,

More information